Podiatry Fee Schedule Key - Illinois Department of Healthcare and ...
Podiatry Fee Schedule Key - Illinois Department of Healthcare and ...
Podiatry Fee Schedule Key - Illinois Department of Healthcare and ...
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Prior Prog<br />
H<strong>and</strong> NDC<br />
HCPCS Approv Cov EffectiveDt Price Ind Surg Ind AsstSurg State Max<br />
28305 04 07/01/2008 M Y 373.70<br />
28306 04 M Y 262.20<br />
28307 04 07/01/2008 M Y 299.70<br />
28308 04 M Y 202.50<br />
28309 04 07/01/2008 M Y 358.05<br />
28310 04 M Y 262.20<br />
28312 04 M Y 169.85<br />
28313 04 M Y 167.10<br />
28315 04 M Y 224.70<br />
28320 04 07/01/2008 M Y 378.05<br />
28322 04 M Y 244.90<br />
28340 04 M Y 270.00<br />
28341 04 07/01/2008 M Y 307.90<br />
28344 04 M Y 172.80<br />
28345 04 M Y 216.00<br />
28360 04 07/01/2008 Y M Y<br />
28400 04 I 114.20<br />
28405 04 M Y 228.90<br />
28406 04 M Y 231.65<br />
28415 04 M Y 642.45<br />
28420 04 M Y 671.85<br />
28430 04 M 109.00<br />
28435 04 M Y 215.05<br />
28436 04 M Y 318.60<br />
28445 04 M Y 718.70<br />
28446 04 07/01/2008 M Y 626.74<br />
28450 04 M 98.00<br />
28455 04 M 277.50<br />
28456 04 07/01/2008 M Y 313.20<br />
28465 04 M Y 599.35<br />
28470 04 I 97.05<br />
28475 04 M 173.40<br />
28476 04 M Y 237.85<br />
28485 04 M Y 301.00<br />
28490 04 I 55.40<br />
28495 04 I 69.30<br />
28496 04 M Y 113.60<br />
28505 04 M Y 230.80<br />
28510 04 I 41.60<br />
28515 04 I 97.05<br />
28525 04 I Y 202.90<br />
28530 04 07/01/2008 I 57.30<br />
28531 04 07/01/2008 M Y 224.70
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